98 Colorado Ave. — P.O. Box 25
Stratton, CO 80836
Phone: 719-348-5326

 
Online Employment Application
Stratton Equity Coop
98 Colorado Avenue
P.O. Box 25
Stratton, CO 80836
(719) 348-5326
hr@stratton.coop
First Name:  
Last Name:  
Address:  
City:  
State:  
Zip Code:  
Daytime Phone:  
Email Address:  
Position Applied For:  
Type of Employment Desired:   Full-Time    Part-Time    Temporary    Any Available  
Date Available to Start:  
Are you able to meet the attendance requirements?   Yes    No  
Do you have any objection to working overtime if necessary?   Yes    No  
Can you travel if required by this position?   Yes    No  
Have you ever been previously employed by our organization?   Yes    No  
Can you submit proof of legal employement authorization and identity?   Yes    No  
Do you have a Commercial Driver License?   Yes    No  
Have you ever been convicted of a crime in the last 7 years?   Yes    No  
If yes, please explain:  
How did you hear about this job? 
EMPLOYMENT HISTORY
(Please provide all employment information for your past four employers starting with the most recent.)
 
Employer:  
City & State:  
Phone Number:  
Immediate Supervisor:  
Start & End Dates:  
Salary:  
Job Summary:  
Reason for Leaving:  

Employer:  
City and State:  
Phone Number:  
Immediate Supervisor:  
Start & End Dates:  
Salary:  
Job Summary:  
Reason for Leaving:  

Employer:  
City and State:  
Phone Number:  
Immediate Supervisor:  
Start & End Dates:  
Salary:  
Job Summary:  
Reason for Leaving:  

Employer:  
City and State:  
Phone Number:  
Immediate Supervisor:  
Start & End Dates:  
Salary:  
Job Summary:  
Reason for Leaving:  

Skills, Qualifications, Education
Other Skills & Qualifications:  
Education History
List school name and location, course of study, and any degrees earned:
High School:  
College:  
Technical Training:  
Other:  

References
List 3 references names, telephone numbers, and years known. (do not include relatives or employers):
Name:  
Years Known:  
Phone Number:  
Name:  
Years Known:  
Phone Number:  
Name:  
Years Known:  
Phone Number:  

Additional Information:  

I hereby authorize Stratton Equity Coop to contact, obtain, and verify the accuracy of the information contained in this application from all previous employers, educational institutions, and references.  I also hereby release from liability Stratton Equity Coop and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discoverd.

If I am employed, I ackowledge that there is no specific length of employment and that this application does not constitute an agreement or contract for employment.  Accordingly, either I or the employer can terminate the relationship at will, with or without cause, an any time, so long as there is no violation of applicable federal or state law.

I understand that it is the policy of Stratton Equity Coop not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that persons need for reasonable accomodations as required by the ADA.

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired.  Failure to submit such proof within the required time shall result in immediate termination of employment.

Certification

To certify your application, and to acknowledge these terms, please electronically sign by entering your FULL name in the field below and then click  "signature confirmed" and verify today's date.

By providing this electronic signature, I agree with all the statements contained and certify the accuracy of the information I have provided.
Enter Electronic Signature: 
Signature Confirmed?    Confirmed
 Not Confirmed
Date of Certification:  


Equal Opportunity Employer
Stratton Equity Coop provides equal employment opportunites to all employees and applicants for employment without regard to race, color, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state or local laws.  Stratton Equity Coop complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities.  This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Thank you for your interest in Stratton Equity Coop. Please type the verification text in the box below and then click "Submit" to complete your application.

 
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